CELEBRA MED LLC (NPI# 1225662968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225662968 |
| Entity Type | Organization |
| Organization Name | CELEBRA MED LLC |
| Practice Address |
101 W Ridgely Rd Ste 8a Lutherville MD 21093-5124 |
| Mailing Address |
2803 Todkill Trce Edgewood MD 21040-3430 |
| Practice Telephone | 4433561494 |
| Enumeration Date | 2020-03-02 |
| Last Update Date | 2020-03-02 |
| Authorized Official Name | HERMAN NDUNGU (OWNER) |
| Authorized Official Telephone | 4433561494 |
| Authorized Official Credential | PMHNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
101 W RIDGELY RD STE 8A |
| City | LUTHERVILLE |
| State | MD |
| Zip Code | 21093-5124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952572687 | Joelene Parks | Social Worker | 101 W Ridgely Rd Ste 8a, Lutherville, MD 21093 | 2008-03-20 |
| 1114481579 | Francesca Singleton | Social Worker | 101 W Ridgely Rd Ste 8a, Lutherville, MD 21093-5124 | 2019-01-29 |
| 1033691407 | Jennifer Wilson Lcswc Lcadc LLC | Counselor | 101 W Ridgely Rd Ste 8a, Lutherville, MD 21093-5124 | 2018-09-03 |
| 1063940104 | Alluvion Counseling, LLC | Counselor | 101 W Ridgely Rd Ste 8a, Lutherville, MD 21093-5124 | 2017-06-02 |
| 1609315761 | Cassidy Demos | Counselor | 101 W Ridgely Rd Ste 8a, Lutherville, MD 21093-5124 | 2017-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309959 | Megan Lagergren | Social Worker | 1407 York Rd. Suite 307, Baltimore, MD 21093 | 2019-08-01 |
| 1437629003 | Mary Ann Lopus | Counselor | Villa Maria School 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-11-27 |
| 1275001455 | Hannah Michele Breckenridge | Social Worker | 1212 York Rd Ste A302, Lutherville, MD 21093 | 2018-11-06 |
| 1386111573 | Christina Calabrese | Social Worker | Villa Maria School, 2300 Dulaney Valley Road, Timonium, MD 21093 | 2018-10-26 |
| 1790279735 | Synopsis Healthscience | Internal Medicine | 19 Huntress Ct, Timonium, MD 21093 | 2018-06-21 |
| 1134648629 | Centers for Advanced Orthopaedics, LLC | Occupational Therapist | 1312 Bellona Ave Ste 302, Lutherville, MD 21093 | 2017-09-15 |
| 1134647746 | Andrea Stokes Rackowski | Social Worker | 1400 Front Ave. Suite 305, Lutherville, MD 21093 | 2017-09-03 |
| 1790200780 | Judson Franklin Force Jr. | Pediatrics | 309 Overlook Dr, Timonium, MD 21093 | 2017-08-10 |
| 1942722053 | Eundae Suk | Chiropractor | 1407 York Rd Ste 302, Lutherville, MD 21093 | 2017-07-10 |
| 1508301482 | Bh Brightview Mays Chapel Ridge Opco, LLC | Alzheimer Center (Dementia Center) | 12261 Roundwood Road, Timonium, MD 21093 | 2016-12-30 |
| Find all providers in zip 21093 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811412604 | Ama Transitional Services, LLC | Clinic/Center | 22 W Padonia Rd Ste A203, Lutherville, MD 21093-2277 | 2017-08-14 |
| 1881237493 | E-s Consulting and Assessment, LLC | Clinic/Center | 2324 W Joppa Rd Ste 130, Lutherville, MD 21093-4615 | 2019-10-26 |
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| 1508472226 | Resilient Psychiatry, LLC | Clinic/Center | 744 Dulaney Valley Rd Ste 7, Towson, MD 21204-5132 | 2020-09-17 |
| 1356955298 | Peace In Perspective | Clinic/Center | 11 Far Corners Loop, Sparks, MD 21152-9256 | 2020-09-08 |
| Find all providers with the same taxonomy | ||||
| City | LUTHERVILLE |
| Zip Code | 21093 |
Please comment or provide details below to improve the information on CELEBRA MED LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.